[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-2-maternal-pediatric-076":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"產兒科護理學","maternal-pediatric",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":26},"nurse-112-2-產兒科護理學-076","nurse-112-2-maternal-pediatric-076",112,2,76,"吳小弟，5 個月大，持續腹瀉，有關護理指導的敘述，下列何者較不適當？",{"A":14,"B":15,"C":16,"D":17},"以中性溫和肥皂及清水清洗臀部並擦乾","需泡兩倍濃度的全奶，防止營養不良","建議可改喝無乳糖配方奶粉","輕中度腹瀉可給與電解質口服液治療","B",null,[],"本題考點是嬰兒腹瀉的居家護理指導，屬反向題，要找出較不適當的敘述。錯誤敘述為 B，把配方奶泡成兩倍濃度會提高奶水的滲透壓，反而使腸道水分被拉入腸腔加重腹瀉並造成脫水，是危險做法，故選 B。以中性溫和肥皂與清水清洗臀部並擦乾，可預防尿布疹，A 適當。腹瀉時腸黏膜的乳糖酶受損，改用無乳糖配方奶粉能減少乳糖不耐引起的滲透性腹瀉，C 適當。輕中度腹瀉以口服電解質液補充水分電解質是首選處置，D 適當。","嬰幼兒腹瀉管理的核心是防脫水與維持營養：口服電解質液(ORS)依世界衛生組織配方設計，鈉葡萄糖共同運輸機轉可有效吸收水分。奶水稀釋或增稠都會改變滲透壓，臨床原則是維持正常濃度、必要時換無乳糖配方，而非改變沖泡比例。記憶重點：腹瀉時該調整的是奶的種類(乳糖有無)，不是奶的濃度。臀部照護則著重清潔、乾燥與屏障保護以防念珠菌尿布疹。",[24,27,29,31],{"term":25,"count":26},"口服電解質液 ORS",1,{"term":28,"count":26},"滲透性腹瀉",{"term":30,"count":26},"乳糖不耐 無乳糖配方",{"term":32,"count":26},"尿布疹護理",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-2-maternal-pediatric-077","有關肌肉失養症（Muscular Dystrophy）病童之臨床表徵與處置，下列敘述何者不適當？",77,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-113-1-maternal-pediatric-043","小萍診斷為先天性甲狀腺功能低下症，有關血液檢驗值之敘述，下列何者正確？",43,113,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-113-3-maternal-pediatric-037","有關嬰兒玫瑰疹（roseola）的評估，下列敘述何者錯誤？",37,3,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-115-1-maternal-pediatric-035","小敏，8 歲，罹患肌肉失養症（muscular dystrophy），呼吸急促且有喘鳴聲，經門診入院求治，以家庭為中心的護理措施，下列敘述何者最不適當？",35,115,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-106-2-maternal-pediatric-059","下列那一種對象是接種麻疹、腮腺炎、德國麻疹混合疫苗（MMR）的禁忌者？",59,106,{"webId":59,"stem":60,"number":61,"year":62,"session":26},"nurse-108-1-maternal-pediatric-013","蔡女士第一胎，因待產緊急狀況需進行剖腹產，醫師採用吸入性麻醉藥物進行全身麻醉，下列何者錯誤？",13,108,"2026-09-04",1788510748644]